title: An immunocompetent adult patient with hepatitis and guillain-barré syndrome after cytomegalovirus infection.
abstract: OBJECTIVE
  It is to describe an immunocompetent adult patient with hepatitis and Guillain-Barré syndrome (GBS) after Cytomegalovirus (CMV) infection. In the initial course of the diagnosis and treatment, CMV infection was ignored.
  
  
  METHODS
  A 19-year-old Chinese girl complained of fatigue with pain and numbness of the limbs, with abnormal liver function. She was diagnosed as a case of GBS based on history, clinical findings and auxiliary examinations. On day 13 of admission, her liver function was still abnormal. So CMV was recommended to examine. CMV hepatitis was diagnosed on positive serum anti-CMV IgG and IgM antibodies. The case was improved only with intravenous immunoglobulin therapy, without the use of antiviral therapy.
  
  
  CONCLUSIONS
  This case showed an immunocompetent adult patient with hepatitis and GBS induced by CMV. The physicians should take into account multi-system involvement of severe CMV infection.
authors.affiliation: Department of Neurology, Shengjing Hospital of China Medical University, Shenyang 110817, PR China. mayingwfd@yahoo.com.cn
authors.forename: Ying
authors.initials: Y
authors.lastname: Ma
authors.forename: Juan
authors.initials: J
authors.lastname: Feng
authors.forename: Ying
authors.initials: Y
authors.lastname: Qi
authors.forename: Xiao Guang
authors.initials: XG
authors.lastname: Dou
mesh_terms: D000914:Antibodies, Viral / Q000097:blood; D002681:China; D003587:Cytomegalovirus; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000276:immunology; D005260:Female; D020275:Guillain-Barre Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology; D006505:Hepatitis / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology; D006801:Humans; D007121:Immunocompetence; D055815:Young Adult
chemical_list: D000914:Antibodies, Viral